m CHOLld. 



which, ill my humble opinion, there can id 

 this instance be no bilious explajiiation ap- 

 pertaining, In the predominant symptoms 

 of these kinds ofChoIic, there is but little 

 difference ; in the inflammatory, of vvhich we 

 now treat, they however run higher, or, in 

 other terms, more violent ; the pain is evi- 

 dently excruciating, and proceeds from cos- 

 tiveness, with great accumulation of indu- 

 rated faeces, or hardened excrements. The 

 rectum seems loaded, and visibly pressed to 

 the fundament, which appears prominent ; 

 a constant straining and endeavour to expel 

 dung, with no other discharge than a dis- 

 coloured, hot, sharp, liquid ; a frequent po- 

 sition is formed for staling without success ; 

 and the extreme pain soon produces symp- 

 tomatic fever, w^ith short breathina', heaving 

 in the flanks, extravagant actions, and ge- 

 neral exertions, that very much alarm with 

 the apprehension of immediate danger. To 

 allay which, it will be advisable to take off 

 the spasm or stricture from the intestines, 

 by an expeditious solution and dischar2;e of 

 their contents, thereby preventing inflam- 

 mation and its certain, if not immediate, con- 

 sequences. This desirable event must be 



